Fill and Sign the Unmarried Father Child Form

IN THE ____________________ (Name of Court) OF _______________________ (Name of County), _______________________________ (State) In the Matter of the Adoption of _____________________, a Minor Case Number: _____-_____ Consent to Adoption I, _____________________________ (Name of Father) , of ___________________ ______________________________________________ (street address, city, county, state, zip code), an unmarried man, having in my care and under my maintenance _______________ _________________________ (name of child) , a ____________ (male or female), of the age of _____ (age of child), and having been declared to be the father thereof by the _______________ (order or judgment) of the _________________________________ (name of court) on the ____ day of __________________, 20____, the mother of the child being __________________________________ (Name of Mother), do hereby consent to the adoption of the child by ___________________________________________________________ (Names of Adopting Parents), husband and wife, in accordance with the _________________________ (order or judgment) , of the __________________________________ (name of court) on the _____ day of ___________________, 20____, the child to be hereafter called and known as ____________________________________ (new name of child) and to be given to ____________________________________________ (Names of Adopting Parents), husband and wife, for the purpose of adoption as their own child. WITNESS my signature this, the ____day of ___________________, 20___. ____________________________________ Signature of Father Acknowledgment (form may vary by state)